Complete Barkley Review | Actual Questions and Answers Latest Updated
2024/2025 (Graded A+)
Adult Portion - ✔✔
Contraceptive Options - ✔✔
What would cause break through bleeding on Day 1-9 of cycle? - ✔✔deficiency of estrogen
What would cause break through bleeding on Day 20-21 of cycle - ✔✔deficiency of progesterone
What are the absolute contraindications of COC? - ✔✔hx thromboembolic disorders
CVA
CAD
breast CA
estrogen-dep neoplasia
pregnancy
liver tumor; impaired LF
previous cholelithiasis during pregnancy
undiagnosed, abnormal uterine bleeding
What type of pill for migraine HAs, breastfeeding, contraindication to COC? - ✔✔progestin-only mini pill
When should a diaphragm/cervical cap be refitted? - ✔✔gain or loss of 20lbs
How long should a diaphragm be left in vagina following intercourse? - ✔✔6 hours
EENT - ✔✔
,If cup is more than 1/2 the size of the disc diameter, consider ____ - ✔✔glaucoma
Raised area at where an artery and vein meet - ✔✔nicking = hypertension
infection of the eye usually by S. aureus
abrupt onset
painful
erythema
localized tender mass in eyelid - ✔✔hordeolum (stye)
management of hordeolum (stye) - ✔✔warm compresses
topical bacitracin or erythromycin
beady nodule on eye lid, infection or retention cyst of meibomian glad, usually on upper lid
painless
swelling, tenderness, sensitive to light, increased tearing - ✔✔chalazion
management of chalazion - ✔✔warm compresses
refer for surgical removal
Staph infection or seborrheic dermatitis of lid edge
red, scaly, greasy flakes
thickened, crusted lid margins
burning, itching, tearing - ✔✔blepharitis
management of blepharitis - ✔✔hot compress
topical bacitracin or erythromycin
,scrub lashes and lids
treatment for bacterial conjunctivitis - ✔✔antibiotic drops- levo, oflo, cipro floxacin, or tobramycin or
gentamycin soln
gonorrhea in eye - ✔✔Ceftriaxone (rocephin) 250 mg IM
chlamydia in eye - ✔✔1 gm azithromycin
treatment for allergic conjunctivitis - ✔✔po antihistamines
increased intraocular pressure - ✔✔glaucoma
type of glaucoma:
-asymptomatic
-incr IOP
-cupping of disc
-decr peripheral vision - ✔✔open-angle
type of glaucoma:
-extreme pain
-blurred vision
-halos around lights
-pupil dilated or fixed - ✔✔closed-angle
Tonometry screening nationally recommended by age - ✔✔40
clouding and opacification of the normally clear lens of the eye
-painless
, -clouded, blurred vision
-halos around lights
-night vision difficulty
-sensitivity to light and glare
-fading/yellowing of colors
-diplopia (double vision) in single eye
-no red reflex - ✔✔cataract
separation of the light-sensitive membrane in the back of the eye (retina) from its supporting layers
-flashes of light (photopsia), esp. peripheral
-floaters in eye
-blurred vision
-shadow or blindness in a part of visual field - ✔✔retinal detachment
#1, #2, #3 causes of otitis, sinusitis, & CAP - ✔✔1. Strep pneumoniae
2. Haemophilus influenzae
3. Moraxella catarrhalis
type of chronic otitis media consisting of peeling layers of scaly or keratinized epithelium; if untreated,
may erode the middle ear, leading to nerve damage and deafness
squamous epithelium lined sac, filled with desquamated keratin
painless otorrhea, hearing loss, canal filled with mucous and granulation tissue
tympanic membrane perforation 90% of cases - ✔✔cholesteatoma
What are some medications for the management of vertigo? - ✔✔diazepam (valium)
meclizine HCl (antivert)
diphenhydramine (benadryl)
scopolamine patch
2024/2025 (Graded A+)
Adult Portion - ✔✔
Contraceptive Options - ✔✔
What would cause break through bleeding on Day 1-9 of cycle? - ✔✔deficiency of estrogen
What would cause break through bleeding on Day 20-21 of cycle - ✔✔deficiency of progesterone
What are the absolute contraindications of COC? - ✔✔hx thromboembolic disorders
CVA
CAD
breast CA
estrogen-dep neoplasia
pregnancy
liver tumor; impaired LF
previous cholelithiasis during pregnancy
undiagnosed, abnormal uterine bleeding
What type of pill for migraine HAs, breastfeeding, contraindication to COC? - ✔✔progestin-only mini pill
When should a diaphragm/cervical cap be refitted? - ✔✔gain or loss of 20lbs
How long should a diaphragm be left in vagina following intercourse? - ✔✔6 hours
EENT - ✔✔
,If cup is more than 1/2 the size of the disc diameter, consider ____ - ✔✔glaucoma
Raised area at where an artery and vein meet - ✔✔nicking = hypertension
infection of the eye usually by S. aureus
abrupt onset
painful
erythema
localized tender mass in eyelid - ✔✔hordeolum (stye)
management of hordeolum (stye) - ✔✔warm compresses
topical bacitracin or erythromycin
beady nodule on eye lid, infection or retention cyst of meibomian glad, usually on upper lid
painless
swelling, tenderness, sensitive to light, increased tearing - ✔✔chalazion
management of chalazion - ✔✔warm compresses
refer for surgical removal
Staph infection or seborrheic dermatitis of lid edge
red, scaly, greasy flakes
thickened, crusted lid margins
burning, itching, tearing - ✔✔blepharitis
management of blepharitis - ✔✔hot compress
topical bacitracin or erythromycin
,scrub lashes and lids
treatment for bacterial conjunctivitis - ✔✔antibiotic drops- levo, oflo, cipro floxacin, or tobramycin or
gentamycin soln
gonorrhea in eye - ✔✔Ceftriaxone (rocephin) 250 mg IM
chlamydia in eye - ✔✔1 gm azithromycin
treatment for allergic conjunctivitis - ✔✔po antihistamines
increased intraocular pressure - ✔✔glaucoma
type of glaucoma:
-asymptomatic
-incr IOP
-cupping of disc
-decr peripheral vision - ✔✔open-angle
type of glaucoma:
-extreme pain
-blurred vision
-halos around lights
-pupil dilated or fixed - ✔✔closed-angle
Tonometry screening nationally recommended by age - ✔✔40
clouding and opacification of the normally clear lens of the eye
-painless
, -clouded, blurred vision
-halos around lights
-night vision difficulty
-sensitivity to light and glare
-fading/yellowing of colors
-diplopia (double vision) in single eye
-no red reflex - ✔✔cataract
separation of the light-sensitive membrane in the back of the eye (retina) from its supporting layers
-flashes of light (photopsia), esp. peripheral
-floaters in eye
-blurred vision
-shadow or blindness in a part of visual field - ✔✔retinal detachment
#1, #2, #3 causes of otitis, sinusitis, & CAP - ✔✔1. Strep pneumoniae
2. Haemophilus influenzae
3. Moraxella catarrhalis
type of chronic otitis media consisting of peeling layers of scaly or keratinized epithelium; if untreated,
may erode the middle ear, leading to nerve damage and deafness
squamous epithelium lined sac, filled with desquamated keratin
painless otorrhea, hearing loss, canal filled with mucous and granulation tissue
tympanic membrane perforation 90% of cases - ✔✔cholesteatoma
What are some medications for the management of vertigo? - ✔✔diazepam (valium)
meclizine HCl (antivert)
diphenhydramine (benadryl)
scopolamine patch
